Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.73 / $49.90 / $128.18	Facility		$25.73	$49.90	$128.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.46 / $21.71 / $24.95	Professional		$18.46	$21.71	$24.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $12.48 / $14.97	Professional		$12.48	$12.48	$14.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.15 / $43.31 / $349.71	Facility		$24.15	$43.31	$349.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $19.21 / $24.95	Professional		$3.50	$19.21	$24.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.08 / $61.40 / $114.66	Facility		$26.08	$61.40	$114.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $30.56 / $38.20	Professional		$16.30	$30.56	$38.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $43.66 / $270.77	Professional		$24.95	$43.66	$270.77
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $32.44 / $32.44	Professional		$32.44	$32.44	$32.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.16 / $13.72 / $31.19	Professional		$9.16	$13.72	$31.19
United Facility/Professional Facility Modifier Low / Median / High Price $24.95 / $26.20 / $61.63	Facility		$24.95	$26.20	$61.63
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.97 / $25.70	Professional		$8.71	$14.97	$25.70